Background. A growing body of occupational therapy knowledge and practice focuses not on health but on social transformation, and couples occupational therapy with community development. A tension in both these fields is the disconnect between what practitioners espouse and what they do, limiting the potential of practice. To address this, practitioners are encouraged to engage in praxis—the critical synthesis of theory and practice. Purpose. To explore whether and how Australian occupational therapy-community development practitioners engage in critical praxis. Method. A critical dialogical method was employed to complete multiple in-depth interviews with four occupational therapy-community development practitioners. Interviews were transcribed and analyzed using thematic analysis. Findings. Practitioners appeared capable of praxis but were not consistently employing it. Findings were grouped into themes: disjointed praxis, authentic praxis, supporting praxis, and praxis challenges and solutions. Implications. Occupational therapists need to be supported to develop, use, and maintain skills in critical praxis.

背景。越来越多的职业治疗知识和实践不再关注健康，而是关注社会转型，并将职业治疗与社区发展结合起来。这两个领域的紧张局势是从业者所信奉的与他们所做的事情之间的脱节，从而限制了实践的潜力。为了解决这个问题，鼓励从业者参与实践——理论与实践的批判性综合。目的。探讨澳大利亚职业治疗社区发展从业者是否以及如何参与批判性实践。方法。采用批判性对话方法完成对四位职业治疗社区发展从业者的多次深入访谈。使用主题分析对访谈进行转录和分析。发现。从业者似乎能够实践，但并没有始终如一地使用它。调查结果分为主题：脱节的实践、真实的实践、支持的实践以及实践的挑战和解决方案。影响。需要支持职业治疗师在关键实践中发展、使用和保持技能。